Healthcare Provider Details

I. General information

NPI: 1134069552
Provider Name (Legal Business Name): NABEA FAMILY YOUTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27570 COLLIER DR
MENIFEE CA
92585-8112
US

IV. Provider business mailing address

27570 COLLIER DR
MENIFEE CA
92585-8112
US

V. Phone/Fax

Practice location:
  • Phone: 424-832-0644
  • Fax:
Mailing address:
  • Phone: 424-832-0644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TIARA BRITTNEY JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 424-832-0644